1988-081 1 b.
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date November 21 89
19
88-81
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a One Family dwelling
Lot #19 Briggs Court (St. No. 3) Queensbury Forest
Location ,
Masullo Brothers Builders Inc.
Owner
By Order Town Board
TOWN OF QUEENSBURY
A ' e
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No. 88-81
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to Masullo Brothers Builders Inc.
OWNER of property located at Lot 19 Briggs Court (St No 3) Street, Road or Ave.
in the Town of Queensbury,To Construct or place a One Family Dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is 3049 Broadway
Schenectady, N.Y/ w
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2. CONTRACTOR or BUILDER'S Name
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Same
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3. CONTRACTOR or BUILDER'S Address H
Same
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4. ARCHITECT'S Name rt
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) rt
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lX)Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications
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No. 56' x 26' as per plot plan, specifications and application including cn
septic system and attached garage.
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8. Proposed Use
One Family Dwelling
$5.00 C/O o
115.00 M October 1, 88
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
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(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.) E-'•
Dated at the Town of Queensbury this 21st Day of March 19 88
SIGNED BY e��% /;
��i / k /mot . �L� for the Town of Queensbury �•
Building and Zoning Inspector . oro
, A pilcdC1ua Lou.
Jown o/ Queni.hui3t . . .Permit. Issued- 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 , . TOWN OF QUEZEN:�21.
-- L-1
Bay and Havlland Road, R.D. 1 Box 98. Zoning Designation • p U j] '�,(1
Queensbury, New York 12801 .. •Variance No. • L�
Site Plan Review o
PEAR 181988
I Appro e :
BUILDING & CODE DEPT.
: 'APPLICATION FOR `
. . • .
.4� /.
..BUILDING AND ZONING PERMIT
* * * * * * * * * * . * * .* * * * * * * * * * * * * * * * * * * * * * * * * * ::•
.A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a Building Permit to do the following work which will- '
be done in accordance with the description, plans:and specifications submitted, and such
special conditions as may be indicated:on the Permit.
The owner of this property is: Masullo Brothers builders. Inc,
P.O. Address 1n49 nrfuldwAy4,ichplipptiody, NPv Ynrk Tel.376_105R
Property Location{:_ Lot I /9 / / W get-3.; 216 ' CT Tax Map No. / /
Street number or building lot number
Subdivision name (if applicable) Queensbury Forest
THE PERSON RESPONSIBLE FOR. SUPERVISION OF WORK AS. REGARDS BUILDING CODES IS:
.nasullo Brother`s. BuildArta_.IILC• 3049,3S4adwaX3...1 ►enectaidy, :Heir York 518-370-1058
_Name P.O. Address . Tel. No:
Name of builder Same'- Address Same as Abobe Tel. Sams
Name"of plumbertgB Fltnbimc _Address 88 Newton Stree. Albany.N.Y. Tel
Name- of masontialjuilo Bret, hjalders Address Sam . Tel. Same
r. .
MATURE OF PROPOSED WORK: * ZONING INFORMATION:
aICoristruction of a• new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
Addition to a building * drawn reasonably to scale and attached hereto,
AlteraUion •to, a building * showing clearly and, distinctly all buildings,
(no.change'to exterior dimensions) * whether existing or proposed and indicate all
Other work (describe) * set-back dimensions from property lines. Give
* street and number or lot number and indicate
'OR DEMOLITION PERMIT, STATE SIZE •AND ** wheth•
er interior or corner lot. Show location
cOCATION OF STRUCTURES AFFECTED. of water supply and location .and configuration
• * of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property IZ 0 ft X Pr) ft.
•
• * Existing. building(s) Size ft X ft.
*
PROPOSED BUILDING AND USE: * Existing building(s) Use
Size of new structure la ft X a ft *.
Foundation-pier/slab/crawl/partial ull * Proposed building, distance from property line
(circle one) " See Attached
No. of stories (habitable space) 2 * Front yard pIm ft Rear yard ft
Height (grade to ridge) 23' ft. * Side yards ft and ft
Lf residential, no:. of families 1 * If on corner, setback from side street ft
No. of rooms(excludingbaths) . ' • 9 * OCCUPANCY INFORMATION
No. Of bedrooms 3. .4 * PRIMARY BUILDING -
o. of bathrooms * AOne family dwelling
Primary heating system Electric pear Amr�
Pype of fuel � r * Two family dwelling
Jo. of fireplaces to be installed' . * Multiple dwelling / Number of units
All a wood stove, be installed? tg, • * Permanent occupancy
:ventral Air conditioning? yes * Transient occupancy
* Business
UILDING STYLE, PRIMARY STRUCTURE * Industrial
Ranch Contemporary Log cabin * Other
Raised ranch Mansion Duplex *• If addition, what will use be? '
Split level Old style Bungalow • *
.a.e Co. ' Cottage . Other * ACCESSORY BUILDING-
�.1 • - Rbw Town Nouse * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) • * X Attached. garage/one car/ two car/_�_car
.* * * * * * * * * * * * * * * * * ' Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION *
. 11FORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/66 tad-v),
DUJ./AUL 4 kJ; iL'iLLii.1 a........d....a.a—,..... ._ .
•
. BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc.• lbod Frame
•
Will..any second-hand or ungraded lumber be used?' If so,' for what? . No
• Foundation wall ,material Poured Concrete
Thickness 8" & 10"
Depth of foundation below grade (to bottom-of footing) 70"
Will there be a cellar? ffi Heated or unheated? ' . Floor sq. footage 1,755 sq ft
Will there be a basement? Will any portion be: used as living space?
(If so, what portion? sq.ft. - - Type of use? .
Type of.roof - sloped/flat/shed/other Material.-of roof Asphalt Shingles
Size, wood studs 2 •"X 6 " spacing 24 "o.c. length 8 ft.
Joiats(floor beams) 'lst. floor 2 "X in " spacing' 16 "o.c. span 14 ft.
Joists (floor beams) 2nd. 'floor 2 "X ` 10. . spicing . 1€,2o.c. span IA ft.
Overlays(ceiling beams) "X " spacing. "o.c. span • ft.
Hoof rafters "X " spacing o.c. span ft. . -
Roof trusses(pre-engineered) spacing 24 "o.c: span . -ft.
Exterior wall finish Ahminn - Of what material? '
Interior wall finish 4" sticetrode- Painted '
If. a. garage is to be attached, describe materials to be 'used for FIRE SEPARATION:
"PireCode .
Is there to be an opening between garage and dwelling? Yee If so will a Fire-rated
door, enclosure, and self-closing device be provided? Yes
. Will a flue-lined chimney:be installed? yes - Height above roof , ft.
Depth of chimney foundation below grade 7V' ft. -
Depth of fireplace hearth ' ft. 8 in.. .
Water supply -Municipal or private well madepal
SEPTIC SYSTEH • Distance from ANY private well(.includirig adjoining properties ft.
.(A separate• application is necessary for any,'repair or new installation of septic system)
Town' of Queensbury AFFIDAVIT STATE OF NEW YOR!:
County of Warren •
I swear that tq, the best of my knowledge and belief the statements contained
in this application,. together with the plans and specifications submitted, are a true and
complete statement of 41 proposed work to be donelon the described premises and that all
provisions,.of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the Proposed work shall be.complied with, whether specified or not, and that such. work is
authorized- by the owner. : .• '
SWORN:TO BEFORE ME THIS • - -Signature-�
4 llylti/(/--
Owner, owner's agent,arcnitect,contractor
' day of - 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * -* a a a a a a a a * * *. a' a * a a * * a * * * * * * •* * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
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1. By .
1VYa►a Vi . SUL' L•-i'd. LjU1..1
WARREN COUNTY, NEW YORK
Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work .
ANSWER ALL of the following.:
1 . Gross floor area /500 Sq. Ft.
2 . Type of heat Electric Heat Rmp
;3 Is the building mechanically cooled? YES
4 . Percentage of area of windows and doors 1470
A. Over , 16% Only
1 . Uo value of gross area of walls ,, roof/ceiling and floors.
exposed to ambient conditions See Attached
2 . Floor over heated spaces YES NO
a. Are foundation walls insulated? YES NO
1. If YES, what is the R value? R-13
3 . Slab o.n 'grade YES . , '4
a. If YES, what . is' the .-R value` of insulation around
perimeter of '.floor?
4 . Is basement heated? YES . (115
a. R value of insulation .
5. Type of insulation Fiberglass
B. Under 16% Only
1. R' value of roof and floors exposed to ambient conditions
2 . R value of exterior walls
3 . R value of glazed area
4 . R value of doors
1 W
5. R value of floors over headed aces
6. R value of sla
b b ed ula on - unheated slab
V "
7. R value of slab insul on - heated. slab
8. R value of heated basement/cellar :walls (above grade)
9. R value of heated basement/cellar .walls (below grade)-
10. Type of insulation "
C. Controls
1. Thermostat maximum heat setting 900
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES NO
a. If YES, R value of duct installation
b. R value of duct in other areas
E. Piping Insulation .
1. Size of hot water or cooling carrying agent pipe.. _S 3/4 Copper
2 . R value of pipe insulation(
F. Service Water Heating "
1. Performance efficiency
2. Temperature control setting maximum
G. FQr Swimming Pool Only
1. Maximum heating
Telephone No. 370-1058
(applicant' s signature)
t of ut
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE /900Y• /S / f5'6
•
LOCATION OF PROPERTY FOR INSTALLATION 3 B/I/65S C/�
Owner's Name: /I MMSOIL0 M5. ,802.p1n PVC Telephone: 32O-./O$-e
Address: 3O49 L/A/ / i/- /2 0 6
Installer's Name: I J4S0ZL0 L3d9&.5 /3M O, Telephone: 3 90/ /-
Number of bedrooms (residential only) _ 4
Total daily flow (compute @ 150 gal per bedroom) _ 66
Topography: circle one: Flat Rolling Steep Slope % of slope
Soil Nature: circle one: San Loam Clay . Other / Depth: _ feet
Ground Water: At what depth? ((if/A feet
Bedrock or Impervious Material: At what depth? _ f it feet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supply: circle one: Municipal Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption — feet
PROPOSED SYSTEM: Septic Tank /200 gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench CO feet / Total system length 26 0 feet
SEEPAGE PIT(S): Number of _ / Size each feet by feet
Size of stone to be used # 2- / Depth or Thickness feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
(over)
Section II Septic System Inspections:
A. All applications for septic system installation, alteration or repair, as
required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department at least 24 hours before start
of construction and shall include a plot plan showing:
1.) the proposed,location of the system •
2.) location and distance to lot lines
- 3.) location and distance to structures
4.) location and distance to any water supply
5.) size and dimensions of all tanks, distribution
boxes, tile fields and/or drywells
•
B. No system shall be covered before inspection and approval by the building
Inspector. Failure to comply with this requirement may result in the
uncovering of the system-by the installer and a fine of up to $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an•approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction.
•
I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person: -
f
Date:
•
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801 .
• •
(518) 792-5832
TOWN OF gUEEN9BURY 7)71
BUILDING AND CODES DEPARTMENT 4
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION S ) J4/�
DATE l/ V PERMIT # 48e3 - 8/
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN\
INSULATION: '\
FOUNDATION
FLOORS \ I''
WALLS \t'
/CEILING
t/FINAL INSPECTION: ,'`
CHIMNEY HEIGHT "
ROOFING
SIDING EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCEV/,
& RAILS
PLUMBING FIXTURES/RELIEF VALVE ✓
INTERIOR TRIO PRIVACY DOORS `., vi
FINISHED FLOORS
GARAGE FIRE. ROOFING /
DOOR CLOSERS)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
I PE TOR
INFORMATION FOR BUILDING DEPARTMENT
WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE
OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION
AS COVERED IN AN APPLICATION FILED WITH OUR
DISTRICT OFFICE.
THE NEW YORKfj� BOARD OF FIRE UNDERWRITERS
APPLICATION NO. '0 O6u r
LOCATION/NJ I(VA,
DATE /J INSPECTOR
FORM IBD(REV.1/86)
. awn of QUeen i t urty
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 %/�
Queensbury, New York 12801 /��
SEPTIC DISPOSAL �SYSTEM INSPECTION
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NAME i/ L-[-�
LOCATION d�1// 4�
a
DATE ///i8f PERMIT NO. e/, /
/ .
SOIL TYPE - and - Loam - Clay -
Percolation Test Required? YES - NO
. Percolation rate -. Min/Inch
TYPE of SYSTEM:
Absorption field, total length ,240
Length of each trench 4[3
Depth of trenches
Size of gravel -g ;
SEEPAGE PITS4Nuinber of) •
Size- ft. X _ ft.
Gravel size
PIPING: Size Type
Bldg. to tank n ;
Tank to dist. box .,1f _1
_Dist. box to field/pi-t-
Openings sealed? (YES ) NO Partial
4
LOCATION/SEPARATIONS:
Foundation to tank loft.
Foundation to absorption t.
Absorption to' lot line 2 6j-ft.
Separation of pits ( ft.
LOCATION 0 ' SYSTEM ON PROPERTY(circle one)
Front - ar - Left side - Right side -
COMMENT
•
SYSTEM USE APPROVED S NO
_ r -�-�,
Building Ins S tor
01/86 and vl
J u13
A: y43
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /'''' y
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /0 7 3 / •
NAME 17&V,. Iae!')
LOCATION 3 ,4_L
DATE -S- f PERMIT # S7.
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING •
ELECTRICAL ROUGH-IN j •
INSULATION: { r
FOUNDATION j /
FLOORS f/ i, 'q• •
WALLS '&17)41C =8r R-i i- :71 6j
CEILIN . f \ ' 3(1, .
FINAL INSPECTION: } p X
CHIMNEY HEIGHT C .s
ROOFING i
SIDING k
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS /
GARAGE FIREPROOFING \
DOOR CLOSER(S) ii \
SMOKE DETECTORS//.
FINAL ELECTRICAL/INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM/ THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!'
I
REMARKS:
a U 1/
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2 __0:_1_1 -7-/(41,y p i 01 4- 1 e in i S-A d
INSPE TOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS •
QUEENSBURY, NEW YORK 12801.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME )a.iJi C�C�i p
LOCATION 3 TO
DATE g— c ? PERMIT # c Oa"//
APPROVED
'YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING y
BACKFILL APPROVAL 7
'ROUGH PLUMBING 13—rt !Ve t"
F AMING
ELECTRICAL ROUGH—IN -
INSULATION: {`J
FOUNDATION t'
FLOORS \ /
WALLS
CEILING
FINAL INSPECTION:f \
n
CHIMNEY HEIGHT'
ROOFING
SIDING I
EXTERNAL PORCHES/STEPS`;
STAIRS—CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF .VALVE
INTERIOR/TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSERS)
SMOKE ETECTORS •
FINAL ELECTRICAL INSPECTION •
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARS:p ry / 1
INSPE//'OR
° Jown o/ QueeniLrty
4 .4
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME /' / a-a&L.,E4 /Af` -VCd.
•
LOCATION L3 7
Date 7/7 / f' Permit No. x--gy
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES NO
Footing/Pier Forms t�`
f'F indation
Waterproofing /
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproof.ng
Door Closers
Smoke Detect.rs
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Building Inspector
6/86 and-vl
sown of Queeniury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME �¢5cu/4///
-2_
LOCATION /���'' 3 :k .
s
Date 1 0 / g? Permit No. ye-it
t
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES NO
Footing/Pier Forms fit//
Foundation
Waterproofing
Backfill /
Framing /
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRI, AL INSPECTION
DRIVEWAY APPRoVAL
Final Buildin: Survey
Next scheduled inspection (call when ready)
Remarks-
ilding Inspector
6/86 and-vl
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ZONI &BLDG-CODES DEPTOEPT. .
. •-.. :. • •. • TOWN OF QUESISBURYARY •
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